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Thorax 59:414-420 doi:10.1136/thx.2003.014076
  • Respiratory infection

Severe acute respiratory syndrome: report of treatment and outcome after a major outbreak

Table 2

Univariate analyses of clinical and laboratory parameters associated with the use of intravenous pulse methylprednisolone

Not responding to ribavirin+low dose steroid (n = 113)* Responding to ribavirin+low dose steroid (n = 25)* Odds ratio (95% CI) p value
*Values are mean (SD).
†Per 100 units increase.
‡Per 10 units increase.
Parameters at presentation
Age (years) 39.9 (16.4) 37.5 (17.8) 1.01 (0.98 to 1.04) 0.5
Male sex (%) 48.7% 44.0% 1.21 (0.51 to 2.88) 0.7
Duration between onset of symptom and treatment (days) 5.4 (2.7) 6.1 (2.8) 0.91 (0.77 to 1.07) 0.2
Platelet (×109/l) 146 (58) 175 (64) 0.92 (0.86 to 0.99)‡ 0.03
Neutrophil count (×109/l) 4 (2) 3 (1) 1.30 (0.98 to 1.74) 0.1
Lymphocyte count (×109/l) 1 (1) 1 (1) 0.82 (0.45 to 1.48) 0.5
Activated partial thromboplastin time (s) 42.3 (7.3) 40.4 (10.4) 1.04 (0.97 to 1.11) 0.3
Sodium (mmol/l) 135.5 (3.5) 136.0 (2.5) 0.95 (0.83 to 1.09) 0.5
Urea (mmol/l) 4.8 (5.4) 4.4 (1.1) 1.02 (0.91 to 1.14) 0.7
Creatinine (μmol/l) 101 (118) 86 (22) 1.01 (0.98 to 1.03) 0.4
Alanine transferase (IU/l) 28.8 (30.1) 62.8 (158.1) 1.01 (0.99 to 1.03) 0.1
Creatinine kinase (U/l) 390.1 (675.1) 219.3 (272.3) 1.08 (0.95 to 1.23)† 0.2
Lactate dehydrogenase (U/l) 370.4 (196.5) 262.4 (114.4) 1.56 (1.07 to 2.25)† 0.02
Systolic blood pressure (mm Hg) 117 (18) 109 (11) 1.36 (1.02 to 1.83)‡ 0.04
Diastolic blood pressure (mm Hg) 62 (11) 61 (11) 1.07 (0.72 to 1.59)‡ 0.7
Pulse rate/min 94 (14) 92 (13) 1.15 (0.84 to 1.57)‡ 0.4
C-reactive protein (mg/dl) 51.9 (57.2) 9.6 (10.3) 2.18 (1.12 to 4.25)‡ 0.02
Parameters during treatment
Peak d-dimer (ng/ml) 1184 (1201) 1247 (2119) 0.3
Lymphocyte count (nadir) (×109/l) 0.3 (0.2) 0.6 (0.4) <0.001
Creatinine kinase (peak) (U/l) 515.7 (761.4) 246.4 (268.8) 0.1
Lactate dehydrogenase (peak) (U/l) 468.6 (251.5) 279.0 (109.5) 0.001
Systolic blood pressure (nadir) (mm Hg) 95 (9) 94 (16) 0.6
Diastolic blood pressure (nadir) (mm Hg) 48 (7) 49 (8) 0.7
Pulse rate/min (peak) 107 (15) 99 (11) 0.01
C-reactive protein (peak) (mg/dl) 82.6 (83.8) 13.1 (15.7) <0.001

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